Individual
MS. SANDRA DOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
129 KANSAS AVE, WALSENBURG, CO 81089-1818
(719) 738-2718
(719) 738-2732
Mailing address
23500 US HIGHWAY 160, WALSENBURG, CO 81089-9524
(719) 738-5144
(719) 738-5138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
51644
CO
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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